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NPI Code Detail

MEDICARE: JULIE MYERS THOMAS MD

MEDICARE:   JULIE MYERS THOMAS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD00037996WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110236123OTHERWARAILROAD MEDICARE
6P00773104OTHERWAPALMETTO RR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12000423OTHERINTERNAL ID-MOTOR VEHICLE ID
3245772OTHERWALNI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
54767THOTHERWAREGENCE

General Provider Information

NPI Number : 1558447276
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MYERS THOMAS MD
Provider Business Mailing Address
First Line : 515 MINOR AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2120
Country : US
Telephone Number : 206-386-9500
Fax Number : 206-576-3802
Provider Business Practice Location Address
First Line : 3236 78TH AVE SE
Second Line : STE 200
City : MERCER ISLAND
State : WA
Zip : 98040-3500
Country : US
Telephone Number : 206-275-5060
Fax Number : 206-275-5061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 10/09/2020

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Directions to “ JULIE MYERS THOMAS MD” Practice Location

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